Individual provider Active NPI

Sheila G Chapman, LISW

  • Clinical Social Worker
  • Huber Heights, OH
National Provider Identifier
1295985117
Registry record updated Sep 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0030075-S Issued in OH
Practice address
4868 Nebraska Ave
Huber Heights, OH 45424-6006
Phone
(937) 287-9637
NPI assigned
Sep 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0030075-S OH Primary

Addresses

Primary practice location

4868 Nebraska Ave
Huber Heights, OH 45424-6006

Mailing address

4868 Nebraska Ave
Huber Heights, OH 45424-6006
Phone (937) 287-9637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130426000675 OH Practitioner - Clinical Social Worker 8224185046 Practice locations: Huber Heights, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7029 D Taylorsville Rd
Huber Heights, OH 45424-2377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0030075-SOHMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222560000000",
    "number": "1295985117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 NEBRASKA AVE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246006",
            "telephone_number": "937-287-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 NEBRASKA AVE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454246006",
            "telephone_number": "937-287-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "SHEILA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-28",
        "last_updated": "2008-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0030075-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.